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General NPI Number Information
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NPI Number | 1750941506
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Entity Type | Organization
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Legal Business Name | VILLAGE OF OWEGO
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Dates
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Enumeration Date | 06/14/2019
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Last Update Date | 06/27/2019
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Provider Practice Location Address
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Address Line | 87 NORTH AVE
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City | OWEGO
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State | NY
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Zip | 13827-1324
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Country | US
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Telephone | 607-687-1201
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Fax |
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Provider Business Mailing Address
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Address Line | 178 MAIN ST
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City | OWEGO
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State | NY
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Zip | 13827-1659
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Country | US
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Telephone | 607-687-1710
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Fax | 607-687-1787
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Authorized Official
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Title or Position | MAYOR
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Name | MICHAEL BARATTA III
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Credential |
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Telephone | 607-972-6034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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